JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

Date
Page

01/14/98
1

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

INSCOM/C
194-1000

DOD-AFFILIATED PERSONNEL INCIDENT

PAGE 34

AGENCY INFORMATION

SF
4-10378

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

_NIAL-G8612- Doeld:34520194 -Page-_ - - ----------------------- +--+ 25+ -------------------------

DOCUMENT INFORMATION

USA
[ RESTRI

[ RESTRI
11/21/68
1

MARTI,
EMPLOYME

POLLY PE

CTED ]

CTED ]

MANUEL

NT

RRY STORES

PAPER, TEXTUAL DOCUMENT

UNCLASSI
3

RELEASED
03/07/95

FIED

WITH DELETIONS

}
7

AGENT REPORT t
(AR 381-130; FM 30-17) amr on
: 2. DATE SUBMITTED

21 November 1968

CONTROL SYMBOL OR FILE NUMBER

. NAME OF SUBJECT OR TITLE OF INCIDENT

MARTI, Manuel NMN
PVT Ee1, US 52 737 780 Fs ~60
DPOB: 17 May 1946, San Juan, Puerto Rico 004 36 ao

4. REPORT OF FINDINGS (LISTED/ DEVELOPED EMPLOYMENT )

Firm: Polly Perry Stores
Address: 33-37 East 17th Street, New York, New York 10003
Source/Position: Elliot Weiner; Controller
jDate/Place of Interview: 14 October 1968, at Source's place of employment

SUBJECT'S Name with Aliases: Manuel MARTI

Address:

905 East 167th Street, New York, New York

None Recorded

Previous Addresses:

Not Recorded

Date and Place of Birth:

093-36-4601

Social Security Number:

: 6. Dates of Employment: 9 September 196), to 12 February 1965

Bob Wang

Supervisor:

r 8. Position: Shipping Clerk

| 9. Salary: $52.50 for a 35 hour week

Efficiency: Satisfactory

Left of own accord

Reason for Termination:

Eligible for Rehire: Eligible

Previous Employment: Not Recorded

Remarks: None

DA 2, 94] ucswon

NW 88613 Docid:34529794 Page 2


